Mr Robert Michael Moody, DDS is a
Dentist - General Practice based in Eureka, Kansas. Mr Robert Michael Moody is licensed to practice in Kansas (license number 5279) and his current practice location is
302 W 3rd St, Eureka, Kansas. He can be reached at his office (for appointments etc.) via phone at
(620) 583-7489.
NPI number for Mr Robert Michael Moody is 1598767345 and his current mailing address is 302 W 3rd St, Eureka, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598767345.
Healthcare Provider's Profile
Full Name | Mr Robert Michael Moody |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 302 W 3rd St, Eureka, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598767345
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 08/09/2007
Medical Identifiers
Medical identifiers for Mr Robert Michael Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598767345 | NPI | - | NPPES |
100092550-A | Medicaid | KS | |
BCBS | Other | KS | 05983 |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5279 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert Michael Moody is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Robert Michael Moody, DDS 302 W 3rd St, Eureka, KS 67045-1404 Ph: (620) 583-7489 | Mr Robert Michael Moody, DDS 302 W 3rd St, Eureka, KS 67045-1404 Ph: (620) 583-7489 |
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